Obsessive-Compulsive and Related Disorders

Question 1

OCD

Answer 1

Obessesions - recurrent and perisstent thoughts that cause anxiety and stress

Compulsions - behaviros that indivisual feels driven to perform in response to an obsesion of according to rules that must be applied rigidly

Must be at least an hour a day or cause CSI

Can have one or other or both

Question 2

OCD demo

Answer 2

4th most common

Men and women equal

Boys more than girls

Question 3

OCD distinguishing and most common symptom and prognosis

Answer 3

Distinuish from OCPD

Contamination…followed by pathological doubt…followed by intrusive thoughts without a comulsion and symmetry

1/3 significant imrpvoement, 1/3 mod, 1/3 none

Question 4

Prognosis of OCD

Answer 4

Poor if yield to compulsions…early onset…delusions

Question 5

Tx of OCD

Answer 5

Pahramco, behavioral and psychotherapy

SSRIs are 1st line

Can use exposrue and response prevention for behavior therapy

Can use ECT or psychosurg if needed

Question 6

Body dysmorphic disorder

Answer 6

Preocc with one or more perceived flaws in physicial appearance NOT observable or appear slight to others

At some point, perform repetitive behaviors or mental acts in response

CSI

Rule out eating disorder

Question 7

BDD demo

Answer 7

Will most likely present to derm, PCP

Question 8

BDD common symptoms

Answer 8

Gradual onset

Concerns others notice, avoid reflective surfaces

Question 9

Tx of BDD

Answer 9

Serotonin-sepcifc may help

PRocedures do not

May need psychotherapy

Question 10

Hoarding disorder

Answer 10

Persistent difficulty discarding things

Need to save and sitress to throw away

Substantially compromosis their intended use

CSI

Question 11

Hoarding disorder demo

Answer 11

Same in male and female

Question 12

Hoarding disorder coarse

Answer 12

Females have mpre acquisition

11-15 years old

Familial

Question 13

Hoarding comorbidty

Answer 13

20% have OCD

75% have mood or anxiety

Question 14

Tx of hoarding

Answer 14

SSRIs

CBT using exposrue and response prevention by:

Assessing clutter
Discarding items (ERP)
Replacing hoarding with better behaviors

Question 15

Trichotillomania `

Answer 15

Recurrent pulling of ones hair resulting in hair loss

Attrempts to stop

CSI

Question 16

Tricho demo and course

Answer 16

Does not occur in front of others

Deny beahvior and try to hide

In kids, equal prevlance, in adults, more commono in females

Question 17

Tricho vs. OCD

Answer 17

Tricho hair pulling associated with pleasure…OCD patients have more anxiety and depression

Question 18

Tricho onset and tx

Answer 18

Onset as a child

SSRIs, lithium, haldol

Steroid cream

Behavioral tx - habit reeversal, competing response when feel like pulling out hair

Question 19

Excoriation disorder

Answer 19

Recurrent skin picking leads to lesions

Try to stop

CSI

Question 20

Excoriation disroder other things

Answer 20

Spend significant amount of time

Doesnt’t occur around others

Mostly female

Moe common in OCD

May need antibiotic

Question 21

Excoriation disorder tx

Answer 21

Empathetic, non-judgemental enviornment

SSRIs

Maybe hyponosis

Physical barriers